General Employment Application

Arkansas State University - Mountain Home

NOTE:This form cannot be saved. If at any point you close the document, you will have to reenter the information. Before starting this application form, please have your electronic cover letter, resume, unofficial transcripts (if requested in the job posting), and any other needed documents prepared and ready to attach to the bottom of the application. The cover letter and resume should be combined into one (1) Word document or pdf file, and all transcripts should be combined into one pdf document. All documents should be submitted in an electronic attachment with this application. Documents submitted separately from this application cannot be accepted or processed, and incomplete application packets will not be considered.

SECTION A. GENERAL INFORMATION

A General Employment Application must be completed to apply for any vacant staff position.

It is the policy of Arkansas State University – Mountain Home to accept applications only when there is an open and listed job vacancy. Unsolicited applications or resumes will be removed from our system.

SECTION B. REQUIRED DISCLOSURES

Have you previously worked for ASUMH or any Arkansas State agency or institution?
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Yes
No

If so, please list the agency/institution name:

Have you ever been convicted of a felony?
*

Yes
No

If so, please explain:

Are you required to register as a sex offender?
*

Yes
No

1. Are you one of the following:
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Current member of the AR General AssemblyCurrent constitutional officerCurrent AR State employeeFormer member of the AR General AssemblyFormer constitutional officerFormer AR State employeeNone of the above apply

2. Is your spouse, brother, sister, parent, and/or child, of you or your spouse, one of the following?
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Current member of the AR General AssemblyCurrent constitutional officerCurrent AR State employeeFormer member of the AR General AssemblyFormer constitutional officerFormer AR State employeeNone of the above apply

Some business relationships may prohibit an agency from hiring you. If any block is checked in #1 or #2 above, you will be required to disclose additional information if you are selected for an interview to determine whether your employment would be prohibited or would required approval by the state.

By submitting this application, you understand that, should you become an employee of the State of Arkansas, you will be required to disclose any benefit obtained from a state contract by a business in which you have a financial interest, pursuant to ACA Section 19-77-706, and will be subject to civil, criminal, or administrative remedies if you fail to report such benefits. You understand that, should you become an employee of the State of Arkansas, you will be restricted both during and after state employment from certain activities concerning procurement and selling to the state, pursuant to ACA Section 19-11-709, and will be subject to civil, criminal, and/or administrative remedies if you violate any of these restrictions.

Do you have a high school diploma or GED?
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Yes
No

Have you attended a college or technical school?
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Yes
No

What is the highest degree you have attained?

If so please list all schools you have attended and all degrees received

College/University

List all schools you have attended and all degrees received

Degree Attained

College/University

Degree Attained

College/University

Degree Attained

Please list any certifications or licenses you hold.

SECTION D. WORK EXPERIENCE

How many total years of similar job experience do you have?
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Please list your last four employers, dates of employment, title and the reason for leaving the position.
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All file uploads are limited to 10MB. If you need to change the file you've selected for upload, simply click the browse button again and you can change your selection. Please upload only PDF documents or Microsoft Office files.

Please attach your unofficial transcripts. Please submit only the transcript for your highest degree or combine all transcripts into one PDF document.

Public Safety Officers - Attach ALETA Certificate of Standards.

1. Professional Reference Letter (if requested in the job posting).

2. Professional Reference Letter (if requested in the job posting).

3. Professional Reference Letter (if requested in the job posting).

Other documents you wish to submit.

Other documents you wish to submit.

TERMS AND CONDITIONS OF APPLICATION

Please read this statement carefully. By submitting this application, you are agreeing to the following terms:

I certify that the information given herein is true and complete to the best of my knowledge. I authorize investigation of all statements in this application as may be necessary in arriving at an employment decision. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in termination.

Arkansas State University - Mountain Home is an "At Will" employer. I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with ASUMH is of an "at will" nature, which means that the Employee may resign at any time and Employer may discharge Employee at any time with or without cause. It is further understood that this "at will" employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of the organization.

I hereby give consent to any and all of my prior employers to provide information regarding my employment with them to ASUMH. As authorized by the Quality in Hiring Act of 1999, this information may include date and duration of employment, current pay rate and wage history, job description and duties performed, last written performance evaluation prior to date authorization signed, attendance information, results of drug or alcohol tests administered within one year prior to request, threats of violence, harassing acts, or threatening behavior related to the workplace or directed at another employee, whether separation was voluntary or involuntary and reason for separation, and eligibility for rehire.

I also understand that all job offers are contingent upon a satisfactory background check, and that criminal background checks are performed on the final candidate for each position, and some jobs may require credit checks, special background checks, security clearance, or compliance with specific agency hiring policies prior to my employment, or as a condition of employment, and that failure to meet the requirements may lead to my rejection as an applicant for, or termination from, that job.

I understand that if I am hired, I will be required to provide proof of identity and legal authorization to work in the United State and that federal immigration laws require me to complete an I-9 form in this regard.

I AGREE TO THE TERMS AND CONDITIONS ABOVE
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Yes, I understand and agree to the above mentioned terms.
No, I do not agree to the above mentioned terms.